Organization
BREMEN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA L HOLLOWAY MD (OWNER)
(770) 537-1960
Entity
Organization
Contact information
Practice address
308 CARROLLTON ST, BREMEN, GA 30110-2015
(770) 537-1960
(770) 537-1901
Mailing address
327 OLD BUSHMILL RD, BREMEN, GA 30110-3835
(770) 537-1960
(770) 537-1901
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
034852
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00478552H
—
GA
Enumeration date
05/17/2007
Last updated
08/22/2020
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